| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,883 |
6,755 |
$1.26M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,029 |
2,538 |
$478K |
| A0425 |
Ground mileage, per statute mile |
11,744 |
9,784 |
$280K |
| A0398 |
Als routine disposable supplies |
2,188 |
1,725 |
$21K |
| A0382 |
Bls routine disposable supplies |
418 |
295 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
152 |
112 |
$1K |